Webster Pediatric Dentistry, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

043285-1 Issued in NY

Legal business name

WEBSTER PEDIATRIC DENTISTRY, PLLC

Practice address

39 W Main St
Webster, NY 14580-2901

Phone

(585) 872-0150

Fax

(585) 872-6183

NPI assigned

Sep 26, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jay Skolnick, D.M.D.

Title

Owner

Phone

(585) 872-0150

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1649553637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 W MAIN ST",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802901",
            "telephone_number": "585-872-0150",
            "fax_number": "585-872-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 W MAIN ST",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802901",
            "telephone_number": "585-872-0150",
            "fax_number": "585-872-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "SKOLNICK",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-872-0150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "043285-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Webster Central School District
• Webster Chiropractic Care P.C.
• Webster Medical Group, PC.
• Webster Orthodontics, PLLC (Drabik Orthodontics)
• Webster Pediatric Dentistry, LLP
• Webster Psychiatry & Medicine, PLLC
• Wegmans Food Markets, Inc. (Wegmans Pharmacy #003)
• Wegmans Food Markets, Inc. (Wegmans Pharmacy #066)
• Mary K Weir, RD
• Leslie S Weisbrod, M.D.

• Dentist in Webster, NY
• Providers in Webster, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.